Böhm P, Wirth C J, Jansson V
Department of Orthopedics, Grosshadern Hospital, University Medical School, Munich, Federal Republic of Germany.
Arch Orthop Trauma Surg. 1989;108(4):218-24. doi: 10.1007/BF00936204.
Limb-preserving resections require very careful indications; in particular, the criteria of oncologic radicality must be strictly considered. The functional results can be improved compared with those of ablative surgery, while the rate of relapse-free survival is the same. Surgical therapy for metastases of bone tumors should be performed by simple and safe procedures which allow for quick rehabilitation. The most important limb-preserving methods of operation in the treatment of primary and secondary malignant bone tumors are discussed and a few examples are presented.
保肢手术需要非常谨慎地把握指征;特别是,必须严格考虑肿瘤根治性的标准。与根治性手术相比,其功能结果可以得到改善,而无复发生存率是相同的。骨肿瘤转移的外科治疗应采用简单安全的手术方式,以便能快速康复。本文讨论了治疗原发性和继发性恶性骨肿瘤最重要的保肢手术方法,并列举了一些实例。